COVID-19患者全血细胞计数改变:叙述性回顾

IF 3.8 3区 医学 Q1 MEDICAL LABORATORY TECHNOLOGY Biochemia Medica Pub Date : 2021-10-15 DOI:10.11613/BM.2021.030501
Mariangela Palladino
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引用次数: 42

摘要

2019冠状病毒病(COVID-19)大流行是一场科学和社会危机。2019年冠状病毒病未满足的主要需求之一是其不可预测的临床过程,它可以迅速改变为不可逆转的结果。COVID-19患者可分为轻度、中度和重度。一些血液学参数,如血小板、白细胞总数、淋巴细胞、中性粒细胞(连同中性粒细胞-淋巴细胞和血小板-淋巴细胞比率)和血红蛋白被描述为与COVID-19感染和严重程度相关。本文综述的目的是描述COVID-19感染期间全血细胞计数改变的最新进展,并总结一些血液学参数在疾病过程中的关键作用。血小板、淋巴细胞、血红蛋白、嗜酸性粒细胞和嗜碱性粒细胞计数下降,中性粒细胞计数和中性粒细胞-淋巴细胞和血小板-淋巴细胞比值升高与COVID-19感染和较差的临床结果相关。我们的研究为进展性疾病的有效生物标志物的鉴定增添了一些新意,可能有助于诊断、预防并发症和有效治疗。
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Complete blood count alterations in COVID-19 patients: A narrative review.

Coronavirus disease 2019 (COVID-19) pandemic represents a scientific and social crisis. One of the main unmet needs for coronavirus disease 2019 is its unpredictable clinical course, which can rapidly change in an irreversible outcome. COVID-19 patients can be classified into mild, moderate, and severe. Several haematological parameters, such as platelets, white blood cell total count, lymphocytes, neutrophils, (together with neutrophil-lymphocyte and platelet-lymphocyte ratio), and haemoglobin were described to be associated with COVID-19 infection and severity. The purpose of these review is to describe the current state of the art about complete blood count alterations during COVID-19 infection, and to summarize the crucial role of some haematological parameters during the course of the disease. Decreased platelet, lymphocyte, haemoglobin, eosinophil, and basophil count, increased neutrophil count and neutrophil-lymphocyte and platelet-lymphocyte ratio have been associated with COVID-19 infection and a worse clinical outcome. Our study adds some novelty about the identification of effective biomarkers of progressive disease, and might be helpful for diagnosis, prevention of complications, and effective therapy.

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来源期刊
Biochemia Medica
Biochemia Medica 医学-医学实验技术
CiteScore
5.50
自引率
3.00%
发文量
70
审稿时长
>12 weeks
期刊介绍: Biochemia Medica is the official peer-reviewed journal of the Croatian Society of Medical Biochemistry and Laboratory Medicine. Journal provides a wide coverage of research in all aspects of clinical chemistry and laboratory medicine. Following categories fit into the scope of the Journal: general clinical chemistry, haematology and haemostasis, molecular diagnostics and endocrinology. Development, validation and verification of analytical techniques and methods applicable to clinical chemistry and laboratory medicine are welcome as well as studies dealing with laboratory organization, automation and quality control. Journal publishes on a regular basis educative preanalytical case reports (Preanalytical mysteries), articles dealing with applied biostatistics (Lessons in biostatistics) and research integrity (Research integrity corner).
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